Management of genital chlamydial infections at termination of pregnancy services in England and Wales: where are we now?
Article first published online: 9 JUN 2004
BJOG: An International Journal of Obstetrics & Gynaecology
Volume 111, Issue 12, pages 1408–1412, December 2004
How to Cite
LaMontagne, D. S., Pimenta, J. M., Fenton, K. A., Mallinson, H. and Hopwood, J. (2004), Management of genital chlamydial infections at termination of pregnancy services in England and Wales: where are we now?. BJOG: An International Journal of Obstetrics & Gynaecology, 111: 1408–1412. doi: 10.1111/j.1471-0528.2004.00207.x
- Issue published online: 22 NOV 2004
- Article first published online: 9 JUN 2004
Objective To determine the range of policies and practices related to the management of genital chlamydial infection employed at termination of pregnancy services in England and Wales.
Design Cross-sectional descriptive study.
Setting England and Wales.
Population Termination of pregnancy providers.
Methods Survey questionnaire administered to termination of pregnancy providers
Main outcome measures Policies and practices for the management of genital chlamydial infection in women seeking termination of pregnancy with comparison to the national guidelines of the chief medical officer (CMO) and the Royal College of Obstetricians and Gynaecologists (RCOG).
Results One hundred and thirty-eight (48%) practices responded to the survey, with representation across England and Wales. Policies for screening and/or treatment of chlamydial infection existed for 70% of providers. We found three practice patterns for the management of genital chlamydial infection among termination of pregnancy attenders: 70% of providers tested their own attenders prior to termination and treated if necessary; about 25% of providers administered prophylaxis without testing; and a small number of providers (<5%) neither tested nor treated attenders.
Conclusion These patterns may be the result of differences in the CMO and RCOG guidelines. Given the impact of untreated genital chlamydial infection in women attending for termination, consistent recommendations from the CMO and RCOG may encourage uniform practice for the management of chlamydial infection in this vulnerable population.